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2004, 06-26 Permit App: BLD-04-04737 ACT0'30tid S0STP8b60S City of Spokane Valley Mechanical Permit Application 9V:9T VOW £z Nnl C L -P( 937 Fax* 688-0037 Project Address: 1919 N Grady Ln Permit Use: Owner: Danny Schmitz Phone (daytime contact): 891-6882 Mailing Address: SAME Sstreet) city/state) (zip) Contractor: R&R Heating and AC, Inc. Ucense: RRHEAA108BW Mating Address: 4019 E Central Phone* 484-1405 _Spokane, Wa 99217 (`street) (city/stale) (zip) D.script/on of Work # of units 1 Cost IC Amount - 1 Fuel burning appliance - or < 100.000 X 15.00 = 0.00 2 Fuel burning appliance > 100,000 X 19.00 = 0.00 3 Unlisted appliance (additional charge) - or < 400,000 X 50.00 = 0.00 4 Unlisted appliance (additional charge) > 400,000X 100.00 = 0.00 5 Used appliance (WSEC's min. AFUE rating) - or < 100.000 _ X 580.00 = 0.00 6 Used appliance (W SEC's min. AFUE rating) > 400,000 X 100.00 = 0.00 7 Boiledrafrigeration 1-100M BTU _ X 15.00 ■ 0.00 8 Boiler/refrigeration 101-500M BTU X 28.00 = 0.00 9 Boiler/refrigeration 501-1,000M BTU X 39.00 = 0.00 10 Boiler/refrlgeraticn 1,001-1,750M BTU X 57.00 = 0.00 11 Boiledrefrtgeration + 1.750M BTU X 95.00 a 0.00 12 Gas log, gas Insert, gas fireplace - X 10.00 = 0.00 13 Range - X 10.00 = 0.00 14 Dryer - X 10.00 = 0.00 15 Fuel burning water heater - X 10.00 = 0.00 16 Miscellaneous fuel burning appliance - X 10.00 = 0.00 17 Gas piping, (each outlet) - X 1.00 = 0.00 18 Duct systems - X 10.00 0 0.00 19 Ventilating fans - X 10.00 = 0.00 20 Air handler' (does not include ducting) - or < 10,000 CFM X 12.00 = 0.00 21 Air handler (does not Include ducting) > 10,000 CFM X 19.00 = 0.00 22 Evaporative coolers - X 10.00 = 0.00 23 Type 1 hood - X 50.00 = 0.00 24 Type II hood - X 10.00 = 0.00 26 Heat pump/alr conditioner 0-3 tons 1 X 12.00 = 12.00 26 Air conditioner 3-15 tone X 20.00 = 0.00 27 Air conditioner 15-30 tone X 25.00 on 0.00 28 Air conditioner 30-50 tons X 35.00 = 0.00 29 Air conditioner + 50 tone X 80.00 = 0.00 30 LPG storage tank - X 10.00 = 0,00 31 Wood or pellet stove/insert - X 10.00 = 0.00 32 Wood stove - free standing - X 25.00_ e 0.00 ❑ Cash 0 Check 0 Visa 0 MasterCard Subtotal _ _ 12.00 Faxed permits wsi only be accepted Wei payment of a major credit card Plus Processing Fee 35.00 Date: Expires: Total Permit Fee Due 47.00 an Ca Number: Authorized Signature; TO/T0 39tid SNI1ti3H NN S0Stb8b60S VE:91 1700Z/EZ/90